Cervico-sternotomy with Thoracotomy for Metastatic Cervico-mediastinal Adenopathy

Alberto Oliaro, Enrico Ruffini, Pierluigi Filosso, Paolo Lausi, Francesco Guerrera, Stefania Olivetti, Lorena Costardi, Matteo Roffinella, Giovanni Lanza, Elisa Fontana

university of torino, torino, Italy

Date, time and location: 2018.05.26 08:30, Congress Hall, 2F–C

Abstract

Objective.

Testicular neoplasms may determine metastases in latero-cervical and mediastinal lymph nodes. Thoracic surgery’s role consists in performing a lymphadenectomy which oftentimes requires a quite invasive approach.

Methods.

We present a video clinical case in which the removal of lymph nodes in cervical and mediastinal site was performed through an access which implied the execution, in the same surgical time, of a transversal cervicotomy, a total median longitudinal sternotomy and a left anterior thoracotomy.

Results.

Through this approach it was possible to achieve a radical excision of the cervico-mediastinal adenopathy.

Conclusions.

This video demonstrates that through a cervico-sternothomic surgical access along with an anterior thoracotomy, it is possible to obtain the radical removal of the neoplastic disease with an optimal mediastinal structures control.